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News by Topic: Health insurance

Jan 22, 2024 - Notice from the Internal Revenue Service (IRS), Employee Benefits Security Administration (EBSA), and Department of Health and Human Services (HHS) providing an additional 14 days for comments on the November 3, 2023, proposed rules related provisions of the No Surprises Act regarding the Federal independent dispute resolution (IDR) process. Among other things, these proposed rules would establish new requirements relating to the disclosure of information that group health plans and health insurance issuers offering group or individual health insurance coverage must include along with the initial payment or notice of denial of payment for certain items and services subject to the surprise billing protections in the No Surprises Act; proposes to amend certain requirements related to the open negotiation period preceding the Federal IDR process, the initiation of the Federal IDR process, the Federal IDR dispute eligibility review, and the payment and collection of administrative fees and certified IDR entity fees; and proposes to define bundled payment arrangements. Comments are due by February 5, 2024.
Source: Federal Register
Jan 18, 2024 - Announcement of a new model from the Centers for Medicare & Medicaid Services to test approaches for the behavioral, physical, and social health needs of Medicaid and Medicare recipients, particularly those with mental health or substance use disorders. Interprofessional care teams will offer integrated services for physical and behavioral health. Notes the challenges for accessing behavioral health groups for rural and other underserved patients. The model launches in Fall 2024 in up to 8 states. Funding information will be available in Spring 2024.
Source: Centers for Medicare & Medicaid Services
Jan 16, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for Merit-based Incentive Payment Systems (MIPS); 2) Virtual Groups for Merit-Based Incentive Payment System (MIPS); and 3) Quality Improvement Strategy Implementation Plan, Progress Report, and Modification Summary Supplement Forms. Comments are due by February 15, 2024.
Source: Federal Register
Jan 11, 2024 - Announces an online hub from the U.S. Department of Health and Human Services offering information about Medicaid and Children's Health Insurance Program (CHIP) renewal and transition to other insurance options. The hub offers materials from across the federal government in multiple languages and includes material targeting specific populations such as rural residents.
Source: U.S. Department of Health and Human Services
Jan 10, 2024 - Notice from the U.S. Department of Health and Human Services (HHS) announcing the 2024 meetings of the Physician-Focused Payment Model Technical Advisory Committee (PTAC), which will include discussion and voting on proposals for physician-focused payment models (PFPMs). The 2024 meeting dates are: March 25-26, June 10-11, September 16-17, and December 2-3.
Source: Federal Register
Jan 9, 2024 - The Government Accountability Office (GAO) is accepting nominations for appointment to the Medicare Payment Advisory Commission (MedPAC) by February 9, 2024. Appointments are effective May 2024.
Source: Federal Register